- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $11.00 / $18.44
| Facility | | $6.14 | $11.00 | $18.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.50 / $7.12
| Professional | | $4.80 | $5.50 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $16.82
| Facility | | $6.47 | $6.47 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.91 / $14.59
| Professional | | $3.09 | $3.91 | $14.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.88 / $6.47 / $6.47
| Facility | | $3.88 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.47 / $6.47
| Professional | | $4.72 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $13.43 / $65.86
| Facility | | $4.51 | $13.43 | $65.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.31 / $42.25
| Professional | | $4.76 | $7.31 | $42.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $8.41 / $332.00
| Facility | | $4.00 | $8.41 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.88 / $11.84
| Professional | | $2.59 | $3.88 | $11.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $6.47 / $8.59
| Professional | | $5.50 | $6.47 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $86.35
| Facility | | $8.03 | $16.18 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $8.89 / $14.26
| Professional | | $5.14 | $8.89 | $14.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $11.44
| Professional | | $2.72 | $3.88 | $11.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $23.83
| Facility | | $7.44 | $7.44 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $7.23 / $16.41
| Professional | | $5.71 | $7.23 | $16.41 |